Referrals & Authorizations Specialist II

How Will You Make An Impact

The Insurance Referral Authorization Coordinator Il is responsible for effectively and efficiently managing all referrals for all contracted insurance and organizations. The coordinator will process insurance preverification for office visits. Gather pertinent information from patients, insurance carriers, financial counselors, and other staff to confirm the patient's financial obligation for services. Acts as a liaison between hospitals, clinical staff, health plans, providers, and patients to process referrals. Verifies insurance coverage and obtains required authorizations when necessary.

Requirements

• Processes insurance preverification for office visits.
• Gathers pertinent information from patients, insurance carriers, financial counselors, and other staff to confirm the patient's financial obligation for services.
• Acts as a liaison between hospitals, clinical staff, health plans, providers, and patients to process referrals.
• Verifies insurance coverage and obtains required authorizations when necessary.
• Documents referrals, communications, actions, and other data in an information management system.
• Generates and distributes all applicable forms, notifications, and paperwork.
• Researches and resolves pre-certification, registration, and case-related issues.
• Documents referrals, communications, actions, and other data in an EMR system.
• Generates and distributes all applicable forms, notifications, and paperwork.